A CASE OF COMPLEX INSTENT RESTENOSIS (ISR): ASSESSMENT AND MANAGEMENT AND ROLE OF IMAGING
Researchers & Contributors
Neeraj Bhalla
MD, DM
Principal Director
Department of Cardiology
BLK-Max Super Speciality Hospital
New Delhi, India
Dr. Eshan Chopra
MD, DNB
Consultant
Department of Cardiology
BLK-Max Super Speciality Hospital
New Delhi, India
Case Videos
Video 1 PRE-PCI OCT RUN VIDEO
Pre pci OCT analysis showed MLA distal to earlier stent of 1.44 mm2 with area stenosis 78.9 %. As we move proximal neoatherosclerosis can be seen due to stent undersizing. Ostial lcx showed overhanging struts of lad stent with endothelialized stent.
Video 2 POST PCI OCT RUN VIDEO
Post pci OCT analysis showed distal edge well apposed stent with no stent edge dissection. Proximally LCX ostium is clear of any obstruction. MLA of Left Main stent 14.62 mm 2 fulfilling the stent optimization targets
Video 3
PRE PCI RAO CAUDAL VIEW SHOWING Left Main normal. LAD showed diffuse ISR followed by a 70% lesion distal to stent. LCX had ostial 80 % stenosis, involving origin of early OM.
Video 4
PRE PCI AP CRANIAL VIEW SHOWING diffuse ISR LAD stent with tight lesion distal to stent
Video 5
PRE PCI LAO CAUDAL VIEW SHOWING Left Main normal. ISR LAD with diseased LCX ostium
Video 6
POST PCI AP CRANIAL VIEW SHOWING patent stent in LAD with TIMI 3 flow
Video 7
POST PCI LAO CAUDAL VIEW SHOWING patent stent in LAD with TIMI 3 flow with disease-free OM ostium